Individual provider Active NPI

Paula Josephine Wildi, MS, CCC-SLP

  • Speech-Language Pathologist
  • Parkersburg, WV
National Provider Identifier
1376861716
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S-1231 Issued in WV
Practice address
723 Summers St
Parkersburg, WV 26101-6022
Phone
(304) 428-5573
NPI assigned
May 10, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X S-1231 WV Primary

Addresses

Primary practice location

723 Summers St
Parkersburg, WV 26101-6022

Mailing address

809 Farson St
Unit 105
Belpre, OH 45714-1067
Phone (740) 423-1507

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110119000005 WV Practitioner - Qualified Speech Language Pathologist 3072702364 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1500 Grand Central Ave
Suite 101
Vienna, WV 26105-1079
Phone (304) 295-3016

240 Washington St
Ravenswood, WV 26164-1842
Phone (304) 273-8071

313 Maccorkle Ave SW
South Charleston, WV 25303-1263
Phone (304) 746-3704

Merit-based Incentive Payment System (MIPS)

Final score
87.35 of 100Reported as group
Quality
87.12
Promoting interoperability
100
Improvement activities
40
Cost
70.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
S-1231WVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
First Settlement Physical Therapy Current Accepting new patients
First Settlement Physical Therapy, CurrentSince Feb 1, 2016 Accepting new patients
Athens Xray LLC Past Accepting new patients

Locations

313 Maccorkle Ave SW
South Charleston, WV 25303
Phone (304) 744-2300

1500 Grand Central Ave
Ste 101
Vienna, WV 26105
Phone (304) 295-3060

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1376861716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 FARSON ST",
            "address_2": "UNIT 105",
            "city": "BELPRE",
            "state": "OH",
            "postal_code": "457141067",
            "telephone_number": "740-423-1507",
            "fax_number": "740-401-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 SUMMERS ST",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261016022",
            "telephone_number": "304-428-5573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDI",
        "first_name": "PAULA",
        "middle_name": "JOSEPHINE",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "S-1231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkersburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.